Examination of a Selection of the Patent Medicines ... - ACS Publications

Downloaded by UNIV OF FLORIDA on October 20, 2017 | http://pubs.acs.org Publication Date (Web): May 9, 2014 | doi: 10.1021/bk-2014-1159.ch007

Chapter 7

Examination of a Selection of the Patent Medicines and Nostrums at the Henry Ford Museum via Energy Dispersive X-ray Fluorescence Spectrometry Andrew Diefenbach,1 Danielle Garshott,1 Elizabeth MacDonald,1 Thomas Sanday,1 Shelby Maurice,1 Mary Fahey,2 and Mark A. Benvenuto1,* 1University

of Detroit Mercy, Department of Chemistry & Biochemistry, 4001 W. McNichols Rd., Detroit, Michigan 48221 2The Henry Ford, 20900 Oakwood Boulevard, Dearborn, Michigan 48124-5029 *E-mail: [email protected].

A series of patent medicines from the collections of the Henry Ford Museum in Dearborn, Michigan were analysed via energy dispersive X-ray fluorescence spectrometry for the presence of a wide range of elements. A series of lead standards as high as 1,000 ppm were produced and used as reference points so that the analyses were not purely qualitative. The presence of heavy metals was found in several of the samples. Less expected was the presence, in numerous samples, of several elements now known to be beneficial to human health, including potassium, calcium, and iron, marking them possibly as an early type of food supplement.

Introduction For millennia, humankind has utilized plant and animal sources for the relief of pain and the cure of a wide variety of ailments (1). As an example, one common pain reliever still used extensively today is aspirin. Originally isolated from the bark of willow trees, early sufferers found that if the tree bark was chewed, pain was lessened. Since such times, aspirin production has been expanded enormously, © 2014 American Chemical Society Benvenuto et al.; Chemistry of Food, Food Supplements, and Food Contact Materials: From Production to Plate ACS Symposium Series; American Chemical Society: Washington, DC, 2014.


and in lieu of using plant sources, the starting material for its production today is phenol, usually refined from crude oil. As the nineteenth century ended and the twentieth began, while a systematic understanding of drug use had begun – for pain relief as well as for other health benefits – unregulated medications and nostrums were routinely manufactured and produced for direct sale to the public, often by individuals who claimed the title “Doctor,” as evidenced in Figures 1–3. All the medicines in this study were manufactured without the in vitro, animal, and human testing and oversight we now expect however, in a time before any governmental oversight, such as the Biologics Control Act of 1902 (1–3), or the establishment of the Food and Drug Administration or other such governmental agencies (4–8). These medicines and nostrums were manufactured in a time when ingredients were generally kept secret (9, 10) so that competitors would be unable to steal recipes and replicate a successful product (11, 12). Since the producers of such medicines and nostrums have passed away decades ago, and no proof exists that any modern recipes or existing ingredient lists for these medicines are the same as those made at the turn of the twentieth century, an examination of several of these materials which have been stored in the Henry Ford Museum has been undertaken, to attempt to determine their elemental compositions. What can be learned from examining a group of what are now derogatorily termed ‘quack medicines’ and ‘snake oil?’ As background, the packaging on each material does sometimes state the medicine’s primary use. Figure 1 for example, a photograph of a box of Dr. Sawen’s Magic Nervine Pills, indicates that the manufacturer marketed it as a “nerve vitalizer.” Additionally, newspapers of the time, and pamphlets produced by the manufacturers of the medicines (13) make claims about what a specific medication can do (sometimes very colorful claims) and what ailments the medicine was meant to treat. But since neither lists ingredients in a manner dictated by law today (4–6), and since few previous studies of older patent medicines and nostrums, or any medicinal materials, appear to have utilized X-ray techniques (14–22), it was felt that examination via energy dispersive X-ray fluorescence spectroscopy might be an efficient way to determine the presence of a wide variety of elements within these materials, and result in an enhanced understanding of the composition of these medications, beyond what has been established (22–25).

Experimental All samples were analyzed at least three times using a Spectrace QuanX EDXRF spectrometer, which utilizes fundamental parameters software, and pure element standards. Sample excitation conditions were as follows: 20kV, 0.14 mA, 100 sec count, Kαβ, palladium medium filter, mid Zb conditions, for Fe, Ni, Cu, Zn, Au, Pb, Bi, As and Co, and 41kV, 0.24 mA, 100 sec count, copper thin filter, high Za conditions for Ag, Sn and Sb. The spectrometer uses a rhodium target X-ray tube, and certified copper and lead samples were run each day prior to sample runs to verify both instrument accuracy and precision. 88 Benvenuto et al.; Chemistry of Food, Food Supplements, and Food Contact Materials: From Production to Plate ACS Symposium Series; American Chemical Society: Washington, DC, 2014.


Figure 1. Photograph of Box for Dr. Sawen’s Magic Nervine Pills

In order to fully examine each of these samples by X-ray fluorescence, without any bias for what elements might be present, a protocol was developed in order to establish results that were not merely qualitative. A 1,000 ppm solution of soluble lead was run prior to the samples, and comparisons were established. Certified AAS standard solutions were used: lead (1000 ppm) and its dilutions. Eight standards were prepared for the metal at varying concentrations: 5, 20, 50, 100, 250, 500, 750 and 1000 ppm. A 30 mL sample of each concentration was made by dilution with distilled water. Each standard was stirred vigorously for 15 minutes to ensure homogenous dilution. A 5 mL aliquot of each standard was then transferred into an XRF sample container. The calibration parameters were set as follows: linear analysis, generation of conditions, concentrations, uncertainty, peak intensities, and background intensities (26). The samples were all solid materials, and were all either visually homogeneous powdered material, or were homogenized using an agate mortar and pestle. This ensured that there were no irregularities in the material when they were placed in samples cups for analysis.

Results and Discussion Figure 2 illustrates each patent medicine examined in the study, at 20kV X-ray intensity, and lists the elements of atomic number 11 or higher (mass 23 or greater) that was found in each. The lead standards that had been produced were used to establish peak height comparisons with other elements, and a numeric value was assigned to each, in an attempt to begin to quantify what would otherwise have been a strictly qualitative examination. Thus, a value of 1 is greater in height than that registered by the 1,000 ppm lead standard, 2 equals the lead 1,000 ppm standard, 3 is half the height, and 4 is one-fourth the height of the 1,000 ppm standard. The value of 5 represents a detectable amount of the element, larger than the limit of detection of the instrument, but less than one-fourth of the 1,000 ppm lead standard peak height. 89 Benvenuto et al.; Chemistry of Food, Food Supplements, and Food Contact Materials: From Production to Plate ACS Symposium Series; American Chemical Society: Washington, DC, 2014.


90 Figure 2. Samples, Elements, Relative Amounts at 20keV

Benvenuto et al.; Chemistry of Food, Food Supplements, and Food Contact Materials: From Production to Plate ACS Symposium Series; American Chemical Society: Washington, DC, 2014.

While each medicine was produced independently of all the others, and indeed may have been produced as a competitor with some of the others in the study (9–12), comparisons between the elements and their relative amounts can prove quite useful. As well, tabulating the data, as has been done in Figure 2, clarifies what common elements are present, and further establishes which patent medicines and nostrums have ingredients that are unique, or at least not common to most of those in this set. As well, the tabulated data provides an indicator of how much of a specific element is in each sample.


Deleterious Elements As mentioned in the introduction section, there appears to be a common belief today that patent medicines produced before the existence of the US Food and Drug Administration (2–6) were usually harmful, or at least were no better than placebos (7, 9, 10). It is evident from Figure 2 that several of the medicines examined here did contain lead and mercury. Two did contain arsenic. Figure 3 lists only those elements that contained detectable amounts of lead, mercury, and/or arsenic. Curiously, while mercury only occurs in 5 of the 25 samples, it does so in relatively high amounts in 4 of those 5. Those four are all advertised either as purgative or liver pills, and indeed, small amounts of mercury were used in laxatives in the past, although such materials have since been phased out. Lead is present in 10 of the 25 samples in this study, but in only one does it rise significantly above the detection limit. In no case can lead be considered beneficial to human health, and in the sample with the highest amount of lead, Dr. Page’s Rail Road Pills, the name of the medicine does not provide any clues as to the reason lead was necessary in the formulation. Arsenic was present in only two samples, the Tripeptine Tablets and in Dr. J.J. Gallup’s Vegetable Family Pills. Like lead, arsenic is never beneficial to human health, although not all oxidation states of arsenic are deleterious. Because there are only two samples which manifest arsenic, and because based on the medicines’ names these two samples do not immediately fall into an obvious category, it is difficult to establish why this element was present.

Beneficial Elements While the presence of materials containing lead, mercury and arsenic is, disappointingly, not unexpected in such antiquated patent medicines, the presence of elements that are now considered quite beneficial – such as potassium, calcium, iron, copper, zinc, and even silver – was unexpected, and becomes an indicator that some of these medicines may indeed have met some of their claims. These are discussed further, below.

91 Benvenuto et al.; Chemistry of Food, Food Supplements, and Food Contact Materials: From Production to Plate ACS Symposium Series; American Chemical Society: Washington, DC, 2014.


92

Figure 3. Samples Containing Lead, Mercury, and / or Arsenic



Common Elements: S, K, Ca, Fe, Cu, Zn, Ag, Pb An examination of Figure 2 illustrates that these eight elements are present in a large number of the samples. Sulfur is present in small amounts in ten of the 25 samples. Potassium is present in 18 of the 25 samples. Calcium is present in 22 of the 25 samples, and in four cases is present in intensities equal to or nearly equal to the intensity of a 1,000 ppm lead standard. Iron is also present in 23 out of 25 samples, seven of which show high intensities. Copper is present in 15 of the 25 samples, but is seen at low intensity. Silver is also present in 16 of the 25 samples, again at low intensities. Lead, which has been discussed, above, is present in 10 of the 25 samples. Concerning sulfur: small amounts of sulfur are necessary in the human diet, and can be obtained through certain foods. Plant growth requires a certain amount of sulfur, and since it can be assumed that several of these medicines utilized some plant source as an ingredient, it is not surprising that medicines such as Dr. J.J. Gallup’s Vegetable Family Pills would contain it. Some of the medicines examined, such as Dr. Page’s Rail Road Pills, do not provide any hints as to why sulfur is present in them. In regards to potassium, once again, potassium is required in the human diet, and the now common three number designator for plant fertilizers always lists the percentage of potassium as the third number (for example, 10-6-4 fertilizer contains 10% nitrogen, 6% phosphorus, and 4% potassium). Nevertheless, it was unexpected to find potassium in so many of the samples. The ubiquitousness of the element prompted a re-examination of these peaks to ensure there was no possibility of overlap between any other elemental Kα or Kβ lines and those of potassium that could yield a false positive. None were found. Calcium was found in 22 of the 25 samples, a number exceeded only by iron, and even then, only by one sample. Calcium is certainly essential to the human diet, and is found in a variety of natural sources, from which the medicines were most likely produced. Additionally, calcium compounds have been utilized as antacids for over a century, and the sample with the highest calcium reading, Tripeptine Tablets, might have functioned as an antacid. The name of the patent medicine could be a corruption or deliberate re-wording of “pepsin,” a term first used in 1836 in relation to digestion (27). Some calcium antacids are made from calcium carbonate, thus the anion would not be visible to the X-ray fluorescence spectrometer. Iron is the element found in all but two of the 25 samples studied. In the 7 samples in which its intensity was the highest, two have titles indicationg they were targeted towards women, and in maintaining women’s health. It is now known that some women do suffer from anemia caused by blood loss during the menstrual cycle. Thus, Doct. F.F. Johnson’s French Female Pills, and Reynolds & Parmely’s Female Health Restorative may have been attempts to remedy this problem. Medicines such as Sheldon’s Dyspepsia Troches may also have been used to such an end, since dyspepsia – a form of indigestion with symptoms that include heartburn and pain – and the pains associated with the menstrual cycle may have been confused, at least by the manufacturer. 93 Benvenuto et al.; Chemistry of Food, Food Supplements, and Food Contact Materials: From Production to Plate ACS Symposium Series; American Chemical Society: Washington, DC, 2014.


Copper is a necessary ionic nutrient in human health, and is present in a variety of animal and vegetable sources. Copper compounds play several different roles in living organisms, and the presence of it in 15 of 25 samples, albeit in relatively small amounts, might be an indicator that it was obtained from different plant or animal sources. Its addition through some inorganic copper source, such as a copper salt, can also not be ruled out, however. Zinc plays a vital role in human health, and indeed is marketed in multivitamins today. The presence of zinc in 9 of the 25 samples here may indicate that the manfacturers knew of the benfits of zinc and zinc-containing materials in aiding human health. The presence of silver in 16 of the 25 samples was unexpected, but the presence of both copper and silver in 8 of the 16 silver-containing samples has an explanation that today might seem far removed from medical formulations. Silver can today be produced as a by-product of copper refining, because both silver and gold occur naturally in many copper deposits, and copper mineral deposits (28). It may be that the source material for copper in several of these medicines also provided small amounts of silver. Lead has been discussed in terms of lead compounds being deleterious to human health, but the presence of lead in 10 of the 25 samples here, and in samples that can not be conveniently grouped into one type of medicine – such as purgatives or fever reducers – suggests that lead may be present for another, less obvious reason. Since lead was found to be present in these samples amounts that were small but above the instrument’s level of detection, the possibility exists that some lead compounds were included in these medicine recipes simply because such compounds possess a sweet taste. What is sometimes called ‘lead white,’ or ‘litharge,’ terms that have been used interchangeably throughout history, is actually lead (IV) oxide, and in very small amounts may have been used to make a medicine formula more palatable, or at least less bitter. It was not possible, in the present investigation, to determine whether or not the amounts of lead detected were immediately toxic to the user. It can be surmised that over the course of time, a person who used such a medicine repeatedly would eventually develop symptoms of lead poisoning. Other Elements: Strontium, Barium, Gold The presence of strontium in 5 of the 25 samples, and in samples in which calcium showed an equally strong signal or a stronger signal indicates that the strontium was an impurity in the calcium sources. While strontium can today be directly refined from minerals such as celestite, it does occur naturally in 1% - 2% abundance within many calcium-containing ores. Barium occurs in 6 of the 25 samples, and like strontium, may be present in these samples because it was present as a minor component of some calciumcontaining mineral source. Gold is only present in 3 of the 25 samples, but in two of them co-exists with copper. As mentioned for silver, above, gold can be recovered from copper refining operations, and can at times be a second product that generates a profit. The amount of gold differs from one source or ore batch to another, and from one 94 Benvenuto et al.; Chemistry of Food, Food Supplements, and Food Contact Materials: From Production to Plate ACS Symposium Series; American Chemical Society: Washington, DC, 2014.

location to another. The gold present in two samples here that also contain copper may be cases in which some very small amount of gold was present in the original copper source material. The source of the gold in the third sample, Dr. Freeman’s C.D.Q., may be the silver that is also in that sample.


Conclusions The 25 medicines that were examined in this study displayed a wide variety of elements, many of which have been found in past decades to be beneficial to human health, and some of which are still sold in over-the-counter vitamins, medications, and homeopathic medicines (29). Those samples that contained what are generally considered harmful elements, including mercury, lead, and arsenic, appear in several cases to be used in laxative or purgative medications. Mercury has played a role in this aspect of human health in the past, though it has been removed from modern products. Very small amounts of lead may have been added to some of the medicines to make them taste better to the user and consumer. Arsenic appears in only two of the samples. There was a much larger number of samples that contained multiple beneficial elements than was expected. Although the term ‘snake oil,’ often used for medications like those studied here, has become synonymous with charlatans and medicines that had no positive effects, and that may have had negative effects, it appears that there were cases in which these medicines contained numerous elements that have since been proven to be beneficial to the human diet, such as potassium, calcium, and iron. These twenty five samples thus appear to represent a class of medicines or food supplements that would today be defined as unregulated, but that may have had positive effects on those who used them.

References 1. 2.

3.

4. 5. 6.

Cowen, D. L., Helfand, W. H. Pharmacy, An Illustrated History; Harry N. Abrams, Inc.: New York, NY, 1990. Kondrates, R. A. In The Early Years of Federal Food and Drug Control; Young, J. H., Ed.; American Institute of the History of Pharmacy: Madison, WI, 1982; pp 8–27. The Propaganda For Reform In Proprietary Medicines, 5th ed.; American Medical Association, Council On Pharmacy and Chemistry: American Medical Association Press, Chicago, IL, 1908. http://books.google.com/ books?id=ZX6OSPD_J8UC&printsec=frontcover&source=gbs_ge_ summary_r&cad=0#v=onepage&q&f=false (accessed August 23, 2103). Formation of the Food & Drug Administration. http://www.fda.gov (accessed September 30, 2013). Federal Food, Drug, and Cosmetic Act of Public. Public Law 75-717, 1938. Cowen, D. L. America’s First Pharmacy Laws. J. Am. Pharm. Assoc., Pract. Pharm. 1942, 3, 162–169. 95


7. 8. 9. 10.


11.

12. 13. 14.

15.

16.

17.

18.

19. 20.

21. 22.

23.

Cowen, D. L. The Foundations of Pharmacy in the United States. J. Am. Med. Assoc. 1976, 236, 83–87. Harden, V. A. Inventing the NIH: Federal Biomedical Research policy 1887 – 1937; Johns Hopkins University Press: Baltimore, MD, 1986. Berman, A. The Botanic Practitioners of 19-th Century America. Am. Prof. Pharm. 1957, 23, 868–70. Berman, A. A striving for Scientific Respectability: Some American Botanics and the Nineteenth-Century Plant Materia Medica. Bull. Hist. Med. 1956, 30, 7–31. Facts Worth Knowing: Falsehoods Exposed, The Truth About Patent Medicines, Mercenary And Selfish Character of Attack On Popular Household Remedies by Yellow Journals And Doctors’ Organizations; The Proprietary Association: 1908. http://books.google.com/books?id=0tuG2pNQkEC&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v= onepage&q&f=false (accessed August 23, 2013). Young, J. H. Patent Medicines: An Early Example of Competitive Marketing. J. Econ. Hist. 1960, 30, 648–656. Hostetters Illustrated United States Almanac 1877; Hostetter & Smith: Pittsburgh, PA, 1877. Zhong, X.-K.; Li, D.-C.; Jiang, J.-G. Identification and Quality Control of Chinese Medicine Based on the Fingerprint Techniques. Curr. Med. Chem. 2009, 16, 3064–3075. Zheng, X.; Zhong, J.; Feng, Y.; Lv, Y. Identification On Chinese Traditional Medicine Sanhuang Tablets by X-ray Diffraction Fourier Fingerprint Pattern. Zhongguo Yaoshi 2007, 21, 813–815. Guan, Y.; Ding, X.; Wang, W.; Di, L.; Wang, X. The Methods of X-ray Fluorescent Analysis and X-ray Diffraction of Flos Trollii. Yaowu Fenxi Zazhi 2006, 26, 1623–1625. Wang, W.; Zhang, H.; Li, X. Determination of Elements of Flos Trollii From Different Producing Areas. Guangdong Weiliang Yuansu Kexue 2007, 14, 36–37. Wang, W.-J.; Guan, Y.; Zhu, Y.-Y. Novel Identification of Donkeyhide Glue By X-ray Fluorescence Analysis. Guangpuxue Yu Guangpu Fenxi 2007, 27, 1866–1868. Qiu, H. New Application of X-ray Diffraction in the Identification of Chinese Medicine. Zhongguo Yaoye 2005, 14, 89–90. Chen, H.; Wu, Y.; Zheng, Q.; Lu, Y. X-ray Diffraction Fourier Fingerprint Pattern Qingkailing Patent Medicine. Zhongguo Taoke Daxue Xuebao 2004, 35, 138–140. Zheng, X.; Lu, Y.; Zhao, B.; Lin, R.; Zheng, Q. Studies on X-ray Diffraction Fourier Pattern. Yaowu Fenxi Zazhi 2000, 20, 202–205. Takano, I.; Seto, T.; Yasuda, I.; Hamano, T.; Takahashi, N.; Watanabe, Y. Analysis of Mercury and Arsenic in the Chinese Patent Medicine “Bezoar Antifebrile Pills”. Shoyakugaku Zasshi 1993, 47, 70–73. Griffenhagen, G. B.; Young, J. H. Old English Patent Medicines in America. Bull. - U.S. Natl. Mus. 1959, 218, 153–183. 96



24. Helfand, W. H. Ephemera of the American Medicine Show. Pharm. In Hist. 1985, 27, 185–191. 25. Balm of America, Patent Medicine Collection: Introduction; National Museum of American History. http://americanhistory.si.edu/collections/ object-groups/balm-of-america-patent-medicine-collection (accessed September 30, 2013). 26. Garshott, D. M.; Macdonald, E. A.; Murray, M. N.; Benvenuto, M. A.; Roberts-Kirchhoff, E. Elemental Analysis of a Variety of Dried, Powdered, Kelp Food Supplements for the Presence of Heavy Metals via Energy-Dispersive X-Ray Fluorescence Spectrometry. In It’s All In the Water: Studies of Materials and Conditions in Fresh and Salt Water Bodies; Benvenuto, M. A., Roberts-Kirchhoff, E. S., Murray, M. N., Garshott, D. M., Eds.; ACS Symposium Series; American Chemical Society: Washington, D.C., 2011; Vol. 1086, pp 123−133. 27. Fruton, J. S. A history of pepsin and related enzymes. Q. Rev. Biol. 2002, 77 (2), 127–147. 28. Benvenuto, M. A. Industrial Chemistry; DeGruyter Publishing: Berlin, Germany, 2013. 29. Coulter, H. L. Homeopathic Influences in Nineteenth-Century Allopathic Therapeutics; American Institue of Homeopathy: Washington, DC, 1973.

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Examination of a Selection of the Patent Medicines ... - ACS Publications

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